Published
This is what our policy says: "Using a small amount of lubricant, insert 25mcg (1/4 [one-quarter] of a 100mcg TABLET) of misoprostol tablet into the posterior lady partsl fornix. Minimize the amount of lubricant on the tablet. Document the time and misoprostol dosage administered."
I guess its ok to use a small amount. I don't have any evidence based research on it though.
klone, MSN, RN
14,857 Posts
At our hospital, we've been told not to use any gel at all when inserting Cytotec because it can coat the pill and prevent it from dissolving. Now some of the nurses are saying this is not true and it's okay to use the water-soluble vag exam gel during insertion. I know sometimes the mother is REALLY dry and it makes it difficult. When I encounter that, I will sometimes squirt a bit of normal saline on my fingers to aid in insertion.
Just wondering what other hospitals do.